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1.
Sci Rep ; 13(1): 15726, 2023 09 21.
Artigo em Inglês | MEDLINE | ID: mdl-37735534

RESUMO

Agricultural landscapes are constantly changing as farmers adopt new production practices and respond to changing environmental conditions. Some of these changes alter landscape structure with impacts on natural pest control, pesticide use, and conservation of biodiversity. In rice agroecosystems the effect of landscape structure on natural enemies and pest suppression is often poorly understood. Here we investigate the effect of landscape composition and configuration on a key pest of rice, the brown planthopper (Nilaparvata lugens). Using N. lugens as sentinel prey coupled with predator exclusions, we investigated landscape effects on herbivore suppression and rice grain yield at multiple spatial scales in two regions of Bangladesh. Ladybird beetles and spiders were the most abundant natural enemies of N. lugens with landscape effects observed at all scales on ladybird beetles. Specifically, ladybird beetles were positively influenced by road edges, and fallow land, while spiders were strongly influenced only by rice phenology. Predator exclusion cages showed that N. lugens abundance significantly increased in caged plots, reducing rice gain yield. We also used an estimated biocontrol service index that showed a significant positive relationship with landscape diversity and a significant negative impact on pest density and yield loss. These results suggest that promoting fallow lands and fragmented patches between rice fields could lead to more sustainable insect pest management in rice agroecosystems, potentially reducing the practice of prophylactic insecticide use.


Assuntos
Besouros , Oryza , Aranhas , Animais , Agricultura , Bangladesh , Biodiversidade
2.
Int J Environ Sci Technol (Tehran) ; 18(6): 1645-1652, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33758592

RESUMO

Ganges River water quality was assessed to record the changes due to the nation-wide pandemic lockdown. Satellite-based (Sentinel-2) water quality analysis before and during lockdown was performed for seven selected locations spread across the entire stretch of the Ganges (Rishikesh-Dimond Harbour). Results revealed that due to the lockdown, the water quality of the Ganges improved with reference to specific water quality parameters, but the improvements were region specific. Along the entire stretch of Ganges, only the Haridwar site showed improvement to an extent of being potable as per the threshold set by the Central Pollution Control Board, New Delhi, India. A 55% decline in turbidity at that site during the lockdown was attributed to the abrupt halt in pilgrimage activities. Absorption by chromophoric dissolved organic matter which is an indicator of organic pollution declined all along the Ganges stretch with a maximum decline at the downstream location of Diamond Harbour. Restricted discharge of industrial effluent, urban pollution, sewage from hotels, lodges, and spiritual dwellings along the Ganges are some of the reasons behind such declines. No significant change in the geographic trend of chlorophyll-a was observed. The findings of this study highlight the importance of regular monitoring of the changes in the Ganges water quality using Sentinel-2 data to further isolate the anthropogenic impact, as India continues the phase-wise opening amidst the pandemic.

3.
Hum Exp Toxicol ; 40(3): 483-496, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32909866

RESUMO

Endemic goitre and associated iodine deficiency disorders (IDDs) are a major concern in public health even in the period of post salt iodization in many regions. Among others the consumption of cyanogenic plants found responsible for the persistence of such diseases. Bamboo shoots (BS) is one such cyanogenic plant food that caused disruption of certain thyroid hormone synthesizing regulatory element as has already been reported in our earlier study. In this investigation the possible mechanism of thyrocytes disruption along with interruption of thyroid hormone biosynthesis by BS has been worked out. Commonly consumed BS, Bambusa Balcooa Roxb (BBR) water extract was analysed by GC MS; three doses below IC50 were administered to thyrocytes in culture with and without iodine. Expressions of thyroglobulin (Tg), pendrin (PDS) and monocarboxylate transporter 8 (MCT8) were evaluated in thyrocytes with cell cycle analysis, reactive oxygen species (ROS) generation, DNA oxidation and apoptotic regulation through Bax, Bcl-2 and p53. Phytochemical analysis of BBR extract revealed the presence of precursors and metabolic end products of cyanogenic glycosides. Dose dependent decrease in expression of Tg and PDS with concomitant decrease in gene expression of these with MCT8 were observed. Increased ROS, DNA oxidation and associated imbalance were found through increased Bax and p53 with decreased Bcl-2 that perturbed thyrocytes cell cycle. Cyanogenic constituents of BBR generates ROS associated oxidative changes in thyrocytes with DNA damage and oxidation and cell cycle disruption followed by inhibition of thyroid hormone synthesizing regulatory elements; addition of extra iodine showed partial prevention.


Assuntos
Bambusa , Extratos Vegetais/toxicidade , Células Epiteliais da Tireoide/efeitos dos fármacos , Animais , Células Cultivadas , Antiportadores de Cloreto-Bicarbonato/genética , Antiportadores de Cloreto-Bicarbonato/metabolismo , Dano ao DNA , Feminino , Transportadores de Ácidos Monocarboxílicos/genética , Brotos de Planta , Proteínas Proto-Oncogênicas c-bcl-2/metabolismo , Ratos Wistar , Espécies Reativas de Oxigênio/metabolismo , Transportadores de Sulfato/genética , Transportadores de Sulfato/metabolismo , Tireoglobulina/genética , Tireoglobulina/metabolismo , Células Epiteliais da Tireoide/metabolismo , Proteína Supressora de Tumor p53/metabolismo
4.
Sens Int ; 1: 100043, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-34766045

RESUMO

In this paper, we propose a four compartmental model to understand the dynamics of infectious disease COVID-19. We show the boundedness and non-negativity of solutions of the model. We analytically calculate the basic reproduction number of the model and perform the stability analysis at the equilibrium points to understand the epidemic and endemic cases based on the basic reproduction number. Our analytical results show that disease free equilibrium point is asymptotically stable (unstable) and endemic equilibrium point is unstable (asymptotically stable) if the basic reproduction number is less than (greater than) unity. The dispersal rate of the infected population and the social awareness control parameter are the main focus of this study. In our model, these parameters play a vital role to control the spread of COVID-19. Our results reveal that regional lockdown and social awareness (e.g., wearing a face mask, washing hands, social distancing) can reduce the pandemic of the current outbreak of novel coronavirus in a most densely populated country like Bangladesh.

5.
Perspect Public Health ; 140(1): 27-37, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31070547

RESUMO

AIMS: A major component of the National Health Service (NHS) Health Check in England is to provide lifestyle advice to eligible participants. The aims of the study were to explore the variations (in terms of uptake) in the NHS Health Check in Leicester and to determine its association with a healthy lifestyle. METHODS: This cross-sectional study used data from the Leicester Health and Wellbeing Survey (2015). RESULTS: The odds of having an NHS Health Check were found to be higher in Black and minority ethnic groups and in people of other religions. The odds were lower in people without a religion, residing in the fourth index of multiple deprivation quintile and in ex-smokers. No associations were found between having an NHS Health Check and describing a healthy lifestyle, following a healthy lifestyle, thinking of making lifestyle changes in the next 6 months, cutting down on/stopping smoking among current smokers, or amount of alcohol current drinkers would like to drink. CONCLUSIONS: In Leicester, a few variations in having an NHS Health Check were found among different socio-economic, demographic and behavioural groups. No association was found between the NHS Health Check and a healthy lifestyle. Thus, the improvement work should focus on reducing these variations in having the NHS Health Check and bringing its benefits on promoting a healthy lifestyle.


Assuntos
Doença Crônica/prevenção & controle , Comportamentos Relacionados com a Saúde , Estilo de Vida Saudável , Medição de Risco/métodos , Adolescente , Adulto , Idoso , Inglaterra/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fumar/epidemiologia , Prevenção do Hábito de Fumar , Fatores Socioeconômicos , Medicina Estatal , Inquéritos e Questionários , Adulto Jovem
7.
Public Health ; 170: 122-128, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31029834

RESUMO

OBJECTIVES: Mediation analyses were conducted to explore the contribution of lifestyle behaviours in the ethnic pattern of poor health outcomes in Leicester, England. STUDY DESIGN: Cross-sectional study. METHODS: The study used data on 1959 participants from the Leicester Health and Well-being Survey (2015). Lifestyle behaviours were physical activity, diet, smoking and alcohol drinking. Poor health outcomes were the presence of long-term illness and poor self-reported health. RESULTS: Poor health outcomes were less common in Black and Minority Ethnic groups (BMEs) than Whites. Smoking was less common in BMEs than Whites. Poor health outcomes were more common in ex-smokers and current smokers than never smokers. Health outcomes were associated with smoking even after adjusting for ethnicity. The association of ethnicity and health outcomes reduced after adjusting for smoking, suggesting that the effect was mediated by smoking. CONCLUSIONS: In Leicester, Whites had poorer health outcomes than BMEs, which were not mediated by physical activity, diet and alcohol drinking but were mediated by smoking.


Assuntos
População Negra/psicologia , Disparidades nos Níveis de Saúde , Estilo de Vida/etnologia , Grupos Minoritários/psicologia , População Branca/psicologia , Adulto , Consumo de Bebidas Alcoólicas/etnologia , População Negra/estatística & dados numéricos , Estudos Transversais , Dieta/etnologia , Inglaterra/epidemiologia , Exercício Físico/psicologia , Feminino , Inquéritos Epidemiológicos , Humanos , Masculino , Pessoa de Meia-Idade , Grupos Minoritários/estatística & dados numéricos , Fumar/etnologia , População Branca/estatística & dados numéricos
8.
Work ; 59(3): 367-374, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29630584

RESUMO

BACKGROUND: Occupational injuries are a major problem in agriculture worldwide. In the Northeast region of India, most of the farm operations are carried out manually with hand operated tools and equipment. These tools also cause some nonfatal accidents. In the absence of reliable data on accidents in this region, injury prevention policy cannot be madeOBJECTIVE:The aim of this study was to survey injury causing agricultural accidents occurring during 2010 to 2013 in Arunachal Pradesh of the northeast region to know their magnitude, causes and severity. PARTICIPANTS: In this study, four districts of Arunachal Pradesh namely Papum Pare, Lower Subansiri, West Siang and East Siang were chosen using purposive sampling. From each district, 15 villages were selected. In these villages, a total of 50614 agricultural workers participated and 174 and 48 injuries were found for male and female workers respectively. METHOD: A case-control study was carried out in Arunachal Pradesh. The questionnaire-based approach was used for data collection. The questionnaire contains detailed information on the demographic and injury characteristics. The Demographic information included gender, age, educational background, etc. and injury characteristics included the nature of the injury, the body part injured, and type of tools and equipment that caused the injury. RESULTS: The results showed that farm tools and equipment-related accidents were maximum i.e. 144 (60%) caused due to dao followed by 19 from spade (8%), 18 from sickle (7%) and 8 from axe (3%). The foot and legs were the most frequently injured body parts. From this study, it was also revealed that male agricultural workers are more affected as compared to their female counterparts. CONCLUSIONS: Agricultural accident incident rate (AIR) was found to be 589 per 1,00,000 workers per year. The AIR for males is 462 per 100,000 workers per year which is 3.6 times higher than female workers. The root causes of accidents are the use of traditional tools and equipment in various agricultural activities. Therefore, any ergonomic interventions in designing tools and equipment will significantly improve the occupational health and safety of workers.


Assuntos
Fazendeiros/estatística & dados numéricos , Traumatismos Ocupacionais/etiologia , Adulto , Estudos de Casos e Controles , Estudos Transversais , Feminino , Humanos , Índia/epidemiologia , Masculino , Pessoa de Meia-Idade , Saúde Ocupacional/estatística & dados numéricos , Traumatismos Ocupacionais/epidemiologia , Fatores de Risco , Inquéritos e Questionários
9.
Public Health Action ; 7(1): 74-77, 2017 Mar 21.
Artigo em Inglês | MEDLINE | ID: mdl-28744430

RESUMO

Conducting multicentre operational research is challenging due to issues related to the logistics of travel, training, supervision, monitoring and troubleshooting support. This is even more burdensome in resource-constrained settings and if the research includes patient interviews. In this article, we describe an innovative model that uses open access tools such as Dropbox, TeamViewer and CamScanner for efficient, quality-assured data collection in an ongoing multicentre operational research study involving record review and patient interviews. The tools used for data collection have been shared for adaptation and use by other researchers.


Conduire des recherches opérationnelles multicentriques est un défi, particulièrement dans les contextes de ressources limitées, en tenant compte des questions de logistique de déplacement, de formation, de supervision, de suivi et de soutien à la résolution des problèmes; encore plus si cette recherche implique des entretiens avec des patients. Dans cet article, nous décrivons un modèle innovant qui utilise des outils à accès ouvert comme Dropbox, TeamViewer et CamScanner pour un recueil de données efficace et de qualité assurée dans le cadre d'une recherche opérationnelle continue multicentrique impliquant des revues de dossiers et des entretiens avec des patients. Les outils utilisés pour le recueil de données ont été partagés pour l'adaptation et l'utilisation par d'autres chercheurs.


La realización de investigaciones operativas multicéntricas puede ser problemática, sobre todo en los entornos con restricción de los recursos, habida cuenta de las dificultades en la organización de los desplazamientos, la capacitación, la supervisión, el seguimiento y el apoyo a la resolución de problemas; más aun, cuando la investigación precisa entrevistas a los pacientes. En el presente artículo se describe un modelo innovador que utiliza herramientas de libre acceso como las plataformas Dropbox, TeamViewer y CamScanner, con el fin de lograr una obtención de datos eficiente y de calidad garantizada, en una investigación operativa multicéntrica en curso que comporta el examen de las historias clínicas y entrevistas a los pacientes. Se comunican las herramientas utilizadas en la recogida de datos, con la finalidad de que otros investigadores puedan adaptarlas y las apliquen.

10.
Kathmandu Univ Med J (KUMJ) ; 15(59): 265-267, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-30353906

RESUMO

Traumatic rupture of the diaphragm is an uncommon condition. The prevalence of diaphragmatic rupture among blunt trauma victim ranges from 0.8 to 8%. The etiologic factors are blunt trauma (for example, in motor vehicle accidents) and penetrating trauma. The diagnosis is often missed because of non-specific clinical signs, and the absence of additional intra-abdominal and thoracic injuries. We present a case which was misdiagnosed as a case of left sided hemopneumothorax and treated with tube thoracotomy in other center.


Assuntos
Erros de Diagnóstico , Hérnia Diafragmática Traumática/diagnóstico , Diafragma/lesões , Hemopneumotórax/diagnóstico , Hemopneumotórax/cirurgia , Humanos , Ruptura , Traumatismos Torácicos/diagnóstico , Toracotomia , Ferimentos não Penetrantes/complicações
11.
Genet Mol Res ; 15(4)2016 Oct 17.
Artigo em Inglês | MEDLINE | ID: mdl-27813563

RESUMO

Fusarium wilt (also known as Panama disease) is one of the most destructive banana diseases, and greatly hampers the global production of bananas. Consequently, it has been very detrimental to the Chinese banana industry. An infected plant is one of the major causes of the spread of Fusarium wilt to nearby regions. It is essential to develop an efficient and environmentally sustainable disease control method to restrict the spread of Fusarium wilt. We isolated Trichoderma spp from the rhizosphere soil, roots, and pseudostems of banana plants that showed Fusarium wilt symptoms in the infected areas. Their cellulase activities were measured by endoglucanase activity, ß-glucosidase activity, and filter paper activity assays. Safety analyses of the Trichoderma isolates were conducted by inoculating them into banana plantlets. The antagonistic effects of the Trichoderma spp on the Fusarium pathogen Foc tropical Race 4 (Foc TR4) were tested by the dual culture technique. Four isolates that had high cellulase activity, no observable pathogenicity to banana plants, and high antagonistic capability were identified. The isolates were used to biodegrade diseased banana plants infected with GFP-tagged Foc TR4, and the compost was tested for biological control of the infectious agent; the results showed that the fermentation suppressed the incidence of wilt and killed the pathogen. This study indicates that Trichoderma isolates have the potential to eliminate the transmission of Foc TR4, and may be developed into an environmentally sustainable treatment for controlling Fusarium wilt in banana plants.


Assuntos
Fermentação , Fusarium/fisiologia , Musa/microbiologia , Doenças das Plantas/microbiologia , Trichoderma/fisiologia , Bioensaio , Proteínas de Fluorescência Verde/metabolismo , Filogenia , Folhas de Planta/microbiologia , Caules de Planta/microbiologia , Trichoderma/isolamento & purificação
12.
Stem Cell Reports ; 7(3): 325-340, 2016 09 13.
Artigo em Inglês | MEDLINE | ID: mdl-27594585

RESUMO

Frontotemporal dementia (FTD) and other tauopathies characterized by focal brain neurodegeneration and pathological accumulation of proteins are commonly associated with tau mutations. However, the mechanism of neuronal loss is not fully understood. To identify molecular events associated with tauopathy, we studied induced pluripotent stem cell (iPSC)-derived neurons from individuals carrying the tau-A152T variant. We highlight the potential of in-depth phenotyping of human neuronal cell models for pre-clinical studies and identification of modulators of endogenous tau toxicity. Through a panel of biochemical and cellular assays, A152T neurons showed accumulation, redistribution, and decreased solubility of tau. Upregulation of tau was coupled to enhanced stress-inducible markers and cell vulnerability to proteotoxic, excitotoxic, and mitochondrial stressors, which was rescued upon CRISPR/Cas9-mediated targeting of tau or by pharmacological activation of autophagy. Our findings unmask tau-mediated perturbations of specific pathways associated with neuronal vulnerability, revealing potential early disease biomarkers and therapeutic targets for FTD and other tauopathies.


Assuntos
Demência Frontotemporal/genética , Demência Frontotemporal/metabolismo , Células-Tronco Pluripotentes Induzidas/metabolismo , Mutação , Neurônios/metabolismo , Proteínas tau/genética , Substituição de Aminoácidos , Autofagia/genética , Biomarcadores , Diferenciação Celular , Linhagem Celular , Códon , Demência Frontotemporal/patologia , Regulação da Expressão Gênica , Humanos , Células-Tronco Pluripotentes Induzidas/citologia , Células-Tronco Neurais/citologia , Células-Tronco Neurais/metabolismo , Neurônios/citologia , Isoformas de Proteínas , Processamento de Proteína Pós-Traducional , Estresse Fisiológico , Proteínas tau/metabolismo
13.
Indian J Cancer ; 53(1): 143-6, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27146766

RESUMO

INTRODUCTION: To audit the survival outcomes and loco-regional control in muscle invasive urinary bladder cancer patients treated with external beam radiation therapy (RT). MATERIALS AND METHODS: From November 2008 through December 2011, 50 consecutively diagnosed muscle invasive urinary bladder carcinoma (T2-4a N0-2, M0) patients were included in this retrospective study. All these patients received external beam RT to a median dose of 60 Gy (range 30-66 Gy), and were not suitable for radical surgery due to patients' preference or medical comorbidities. A stepwise procedure using proportional hazard regression was used to identify prognostic factors with respect to survival. RESULTS: Completion trans-urethral resection of bladder tumor was done in 38 (76%) patients of the cohort and 47 (94%) had transitional cell carcinoma on histopathology. Clinical stage T2 was diagnosed in 40 (80%) patients. The median follow-up for the entire cohort was 14 ± 8.9 months (range 1-36 months). In conclusion, 24 patients (48%) were free of disease, 5 patients (10%) had residual disease, and 13 patients (26%) had died of disease. Two-year and 3 year overall survival of intact bladder for the entire cohort was 58% and 43.6%, respectively. Cox regression modeling strongly suggested clinical stage (P = 0.01) and RT dose (P = 0.001) as being predictors for overall survival. CONCLUSION: RT shows reliable outcomes and excellent compliance in this advanced disease. Prescribing a higher RT dose could potentially correlate to better intact bladder control rates while maintaining good quality of life in selected patients.


Assuntos
Neoplasias da Bexiga Urinária/radioterapia , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Invasividade Neoplásica , Dosagem Radioterapêutica , Estudos Retrospectivos , Análise de Sobrevida , Resultado do Tratamento , Neoplasias da Bexiga Urinária/mortalidade , Neoplasias da Bexiga Urinária/patologia
14.
Br J Cancer ; 112(2): 271-7, 2015 Jan 20.
Artigo em Inglês | MEDLINE | ID: mdl-25461802

RESUMO

BACKGROUND: Individuals with undiagnosed lung and colorectal cancers present with non-specific symptoms in primary care more often than matched controls. Increased access to diagnostic services for patients with symptoms generates more early-stage diagnoses, but the mechanisms for this are only partially understood. METHODS: We re-analysed a UK-based case-control study to estimate the Symptom Lead Time (SLT) distribution for a range of potential symptom criteria for investigation. Symptom Lead Time is the time between symptoms caused by cancer and eventual diagnosis, and is analogous to Lead Time in a screening programme. We also estimated the proportion of symptoms in lung and colorectal cancer cases that are actually caused by the cancer. RESULTS: Mean Symptom Lead Times were between 4.1 and 6.0 months, with medians between 2.0 and 3.2 months. Symptom Lead Time did not depend on stage at diagnosis, nor which criteria for investigation are adopted. Depending on the criteria, an estimated 27-48% of symptoms in individuals with as yet undiagnosed lung cancer, and 12-32% with undiagnosed colorectal cancer are not caused by the cancer. CONCLUSIONS: In most cancer cases detected by a symptom-based programme, the symptoms are caused by cancer. These cases have a short lead time and benefit relatively little. However, in a significant minority of cases cancer detection is serendipitous. This group experiences the benefits of a standard screening programme, a substantial mean lead time and a higher probability of early-stage diagnosis.


Assuntos
Neoplasias Colorretais/diagnóstico , Neoplasias Pulmonares/diagnóstico , Estudos de Casos e Controles , Neoplasias Colorretais/epidemiologia , Detecção Precoce de Câncer , Humanos , Incidência , Neoplasias Pulmonares/epidemiologia , Atenção Primária à Saúde , Sensibilidade e Especificidade
15.
Eur J Surg Oncol ; 40(12): 1655-61, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-25108811

RESUMO

BACKGROUND: Patients treated for soft tissue sarcoma (STS) require long-term follow-up to detect recurrent or metastatic disease, yet marked differences exist in clinical approaches to the length of follow-up, frequency of consultations and investigations undertaken at follow-up visits. There has been no published work assessing patient expectations or the acceptability of post-treatment follow-up strategies. This study aimed to assess the patient acceptability of different follow-up strategies following curative surgery for soft tissue sarcoma and to investigate the hypothetical levels of recurrence risk at which different follow-up regimes were acceptable. METHODS: Patients were recruited from the Royal Orthopaedic Hospital in Birmingham. The study used a cross-sectional survey incorporating a best-worst scaling discrete choice experiment to assess patient preferences regarding different aspects of follow-up. RESULTS: 132 patients participated (47% response). The nature of investigations undertaken during follow-up was the most important aspect of post-surgical care. Patients typically preferred appointments routinely consisting of clinical examination and chest X-ray, and for follow-up to remain in secondary care rather than general practice. CONCLUSION: Clear protocols for STS patient follow-up can improve consistency and equity of care. In determining the optimum follow-up plan for STS patients from the patient perspective, this study provides valuable information that should be considered alongside the clinical effectiveness of follow-up strategies to maximise patient outcomes and use NHS resources appropriately.


Assuntos
Agendamento de Consultas , Comportamento de Escolha , Recidiva Local de Neoplasia/prevenção & controle , Visita a Consultório Médico , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Preferência do Paciente , Sarcoma/prevenção & controle , Adulto , Idoso , Estudos Transversais , Inglaterra/epidemiologia , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Gradação de Tumores , Visita a Consultório Médico/estatística & dados numéricos , Preferência do Paciente/estatística & dados numéricos , Satisfação do Paciente , Sarcoma/patologia , Sarcoma/terapia , Fatores de Tempo
16.
Ann R Coll Surg Engl ; 95(7): 115-7, 2013 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-24112482

RESUMO

Underlying ischaemic disease should be excluded in patients with delayed wound healing. Contrast angiography is a useful imaging method for assessing the specific cause of wound chronicity and may also be helpful in assessing the aetiology of unexplained pain symptoms. Angioplasty provides a practical alternative to more invasive techniques in addressing peripheral ischaemia. Our patient suffered claudication-type pain in his thigh and a non-healing stump wound following below-knee amputation. Magnetic resonance angiography confirmed the presence of arterial stenoses and an angioplasty was successfully performed to improve patency of the profunda femoris vessel. Following the operation, the claudication pain symptoms were significantly reduced and the stump wound went on to heal.


Assuntos
Amputação Cirúrgica/efeitos adversos , Angiopatias Diabéticas/cirurgia , Claudicação Intermitente/etiologia , Dor Pós-Operatória/etiologia , Cicatrização/fisiologia , Idoso , Humanos , Isquemia/etiologia , Angiografia por Ressonância Magnética , Masculino , Coxa da Perna/irrigação sanguínea
17.
Ann Clin Biochem ; 50(Pt 2): 159-61, 2013 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-23404928

RESUMO

BACKGROUND: Testosterone is measured for the investigation of female hyperandrogenism and male hypogonadism. Liquid chromatography-tandem mass spectrometry (tandem MS) is becoming the method of choice but comprehensive reference ranges are lacking. METHODS: Testosterone was measured by tandem MS on 90 healthy women, 67 young healthy men and pregnant women (59 first trimester and 60 second trimester). RESULTS: The male, male calculated free, first trimester and second trimester testosterone reference ranges (derived using the antilog of mean ± 1.96 SD of log transformed data) were 10.6-31.9, 0.23-0.63, 0.6-4.9 and 0.9-4.9 nmol/L, respectively. The female testosterone upper reference range limit, derived non-parametrically from the 97.5th centile, was <1.7 nmol/L. CONCLUSIONS: We have derived tandem MS testosterone reference ranges to support clinical services.


Assuntos
Análise Química do Sangue/normas , Espectrometria de Massas em Tandem , Testosterona/sangue , Adolescente , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Gravidez , Valores de Referência , Adulto Jovem
18.
Epidemiol Infect ; 140(11): 1964-71, 2012 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-22185694

RESUMO

Rabies is a major public health problem in Bangladesh, where most of the population live in rural areas. However, there is little epidemiological information on rabies in rural Bangladesh. This study was conducted in 30 upazilas (subdistricts) covering all six divisions of the country, to determine the levels of rabies and animal bites in Bangladesh. The total population of these upazilas was 6 992 302. A pretested questionnaire was used and data were collected by interviewing the adult members of families. We estimated that in Bangladesh, 166 590 [95% confidence interval (CI) 163 350-170 550] people per year are bitten by an animal. The annual incidence of rabies deaths in Bangladesh was estimated to be 1·40 (95% CI 1·05-1·78)/100 000 population. By extrapolating this, we estimated that 2100 (95% CI 1575-2670) people die annually from rabies in Bangladesh. More than three-quarters of rabies patients died at home. This community-based study provides new information on rabies epidemiology in Bangladesh.


Assuntos
Mordeduras e Picadas/epidemiologia , Raiva/epidemiologia , Saúde da População Rural/estatística & dados numéricos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Bangladesh/epidemiologia , Criança , Pré-Escolar , Estudos Transversais , Feminino , Sistemas de Informação Geográfica , Humanos , Incidência , Lactente , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Distribuição Normal , Densidade Demográfica , Raiva/mortalidade , Raiva/terapia , Raiva/transmissão , Inquéritos e Questionários , Adulto Jovem
19.
Ceylon Med J ; 55(1): 9-13, 2010 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-20446534

RESUMO

BACKGROUND: Breast cancer is the commonest cancer affecting women world wide. Breast cancer is a leading cause of cancer related mortality in Asian countries. Management of breast cancer depends on several tumour-related and patient related factors. HER-2/neu over-expression has been associated with a poor prognosis in breast cancer. We assessed HER-2/neu over expression pattern in unselected breast cancer cases in terms of clinico-pathologic parameters to identify any associations between them. METHODS: Two hundred cases of breast cancer were evaluated at Advanced Medical and Dental Institute and Hospital Kepala Batas from 2002 to 2007. HER-2/neu status was confirmed in breast cancer tissues by immunohistochemistry. Immunohistochemical expression of HER-2/neu was evaluated according to the published scoring guidelines of the 'Hercep Test' (Dako, Carpinteria, CA). Data were analysed to identify any association between HER-2/neu and clinico-pathologic parameters. RESULTS: HER-2/neu over expression was found in 63 (31.5%) tumours out of 200. When assessed for various age groups no significant association was found. However, a high percentage (75%) of over-expression was noted in the 81-85 years age group. No association was found with different racial groups (Malay, Chinese and Indians), with lymph node status or with grade of tumour. However a positive association was observed with oestrogen receptor and progesterone receptor expression. CONCLUSION: There was no association between HER-2/neu over expression and age, race, lymph node status or tumor grade. However a positive association was found with oestrogen and progesterone receptor status.


Assuntos
Neoplasias da Mama/metabolismo , Receptor ErbB-2/metabolismo , Adulto , Idoso , Idoso de 80 Anos ou mais , Neoplasias da Mama/patologia , Feminino , Humanos , Imuno-Histoquímica , Metástase Linfática , Malásia , Pessoa de Meia-Idade
20.
Cancer Res ; 70(5): 2095-104, 2010 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-20160036

RESUMO

We and others previously showed that protein kinase D1 (PKD1) is downregulated in several cancers including prostate; interacts with E-cadherin, a major cell adhesion epithelial protein; and causes increased cell aggregation and decreased motility of prostate cancer cells. In this study, we show that PKD1 complexes with beta3-integrin, resulting in activation of mitogen-activated protein kinase/extracellular signal-regulated kinase (ERK) kinase-ERK pathway, which causes increased production of matrix metalloproteinase (MMP)-2 and MMP-9, that is associated with shedding of soluble 80 kDa E-cadherin extracellular domain. Interestingly, decreased cell proliferation following PKD1 transfection was rescued by MMP-2 and MMP-9 inhibitors and augmented by recombinant MMP-2 (rMMP-2) and rMMP-9 proteins, suggesting an antiproliferative role for MMPs in prostate cancer. Translational studies by in silico analysis of publicly available DNA microarray data sets show a significant direct correlation between PKD1 and MMP-2 expression in human prostate tissues. The study shows a novel mechanism for antiproliferative effects of PKD1, a protein of emerging translational interest in several human cancers, through increased production of MMP-2 and MMP-9 in cancer cells.


Assuntos
Metaloproteinase 2 da Matriz/metabolismo , Metaloproteinase 9 da Matriz/metabolismo , Neoplasias da Próstata/enzimologia , Proteína Quinase C/metabolismo , Caderinas/metabolismo , Processos de Crescimento Celular/fisiologia , Linhagem Celular Tumoral , Regulação para Baixo , MAP Quinases Reguladas por Sinal Extracelular/metabolismo , Humanos , Integrina beta3/metabolismo , Sistema de Sinalização das MAP Quinases , Masculino , Metaloproteinase 2 da Matriz/biossíntese , Metaloproteinase 9 da Matriz/biossíntese , Inibidores de Metaloproteinases de Matriz , Proteínas Quinases Ativadas por Mitógeno/metabolismo , Fosforilação , Neoplasias da Próstata/genética , Neoplasias da Próstata/metabolismo , Neoplasias da Próstata/patologia , Proteína Quinase C/genética , Transfecção
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